Mental health correlates of substance use behaviors among a nationally representative sample of juvenile offenders

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Steven L. Proctor ◽  
Albert M. Kopak
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Juvenile Offenders ◽  
Representative Sample ◽  
Health Knowledge ◽  
Health Issues ◽  
Content Type ◽  
Mental Health Issues ◽  
Health Domains ◽  
Nationally Representative

Purpose This paper aims to extend previous findings by identifying the mental health correlates of both acute and chronic substance use behaviors among a large nationally representative sample of juvenile offenders. Design/methodology/approach Survey of Youth in Residential Placement interview data from 6,920 juvenile offenders (76% male) detained in 290 US facilities were analyzed to determine bivariate relationships between two indicators of substance use (acute and chronic) and seven mental health domains (depression/isolation, anxiety, anger, trauma, inattention, hallucinations and suicidality). Findings Prevalence rates of above average indications for all seven mental health domains were significantly higher among offenders under the influence of a substance at the time they committed their instant offense compared to those not under the influence. Offenders with above average indications in the seven studied mental health areas reported a higher level of chronic effects of substance use relative to those with average or below mental health indications. Practical implications The results have important implications for the assessment and treatment of co-occurring mental health issues among juvenile offenders with substance use issues. Juveniles with above average mental health indications may be more prone to experiencing a number of substance-related problems. Observed results may guide the implementation of routine assessment procedures at the juvenile detention level. Intake specialists should screen and administer comprehensive mental health assessments for juveniles who report substance intoxication at the time of their instant offense. Juvenile offenders who report clinical levels of mental health symptoms should receive a comprehensive assessment of substance use and related problems. Originality/value Although the co-occurrence of substance use and mental health issues among juvenile justice involved populations is well documented, previous research studies in this area have included a number of limitations. Relatively small offender sample populations, often from a single facility, warrant further work with a large, nationally representative sample of juvenile offenders. Inconsistency in measures of substance use and the failure to distinguish between acute and chronic measures of substance use in prior studies also require further investigation. This study contributes to the extant co-occurring substance use and mental health knowledge base by identifying the mental health correlates of both acute and chronic substance use behaviors among a large nationally representative sample of juvenile offenders.

A systematic review of studies examining effectiveness of therapeutic communities

2014 ◽  
Vol 35 (4) ◽  
pp. 168-184 ◽  
Author(s):  
Lynne Magor-Blatch ◽  
Navjot Bhullar ◽  
Bronwyn Thomson ◽  
Einar Thorsteinsson
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Social Engagement ◽  
Complex Interventions ◽  
Criminal Activity ◽  
Therapeutic Communities ◽  
Health Issues ◽  
Content Type ◽  
Mental Health Issues

Purpose – The purpose of this paper is to systematically review quantitative research since 2000 on the effectiveness of residential therapeutic communities (TCs) for the treatment of substance-use disorders with reference to substance-use, crime, mental health and social engagement outcomes. Design/methodology/approach – A systematic search with broad inclusion criteria resulted in the review of 11 studies. The studies investigated community-based TCs, as well as TCs modified for prisoners, prisoners transitioning to community living and TCs for individuals with co-occurring substance-use and mental health issues. Findings – Results were analysed by comparing the findings of the studies under investigation, of which three studies investigated within-subjects outcomes, four compared TC treatment with a no-treatment control condition and four compared TC treatment with another treatment condition. Conclusion: consistent with previous systematic reviews of TCs, outcomes varied across studies but indicated TCs are generally effective as a treatment intervention, with reductions in substance-use and criminal activity, and increased improvement in mental health and social engagement evident in a number of studies reviewed. Research limitations/implications – Variability in outcomes suggests further TC research and research syntheses focusing on a second key research question in the evaluation of complex interventions – how the intervention works – could play an important role in understanding TC effectiveness, and for whom it is effective and in what contexts. Practical implications – Although there is some variability in treatment populations included in this review, evidence reported in other studies suggests individuals with severe substance-use disorders, mental health issues, forensic involvement and trauma histories, will benefit from TC treatment. This is supported by the literature which has found a general relationship between severity of substance use and treatment intensity (Darke et al., 2012; De Leon et al., 2008) with outcomes further enhanced by self-selection into treatment and appropriate client-treatment matching (see De Leon, 2010; De Leon et al., 2000, 2008). The weight of evidence gleaned from multiple sources of research, including randomised control trials and field outcome studies (De Leon, 2010) suggests TCs are an important and effective treatment for clients in improving at least some aspects of their quality of life, specifically mental health and social engagement, and in reducing harmful behaviours, including substance-use and crime. Variability in treatment setting and populations reflect the real-world setting in which TC treatment is delivered, providing a multifaceted treatment modality to a complex population in variable circumstances. Originality/value – The strength of the current study is that it provided a broad evaluation of TC effectiveness across a range of outcomes (substance-use, criminal activity, mental health and social engagement), and is therefore valuable in updating the current literature and providing context for future research in this area. It aimed to address a key question in evaluating complex interventions: whether they are effective as they are delivered. Findings suggest that TC treatment is generally effective for the populations of concern in reducing substance use and criminal activity and contributing to some improvement in mental health and social engagement outcomes.

Mental health and stigma in Saudi Arabia: a scoping review

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Nada Alattar ◽  
Anne Felton ◽  
Theodore Stickley
Keyword(s):  
Mental Health ◽  
Saudi Arabia ◽  
Scoping Review ◽  
Mental Health Problems ◽  
Cultural Beliefs ◽  
Relevant Literature ◽  
Mental Health Stigma ◽  
Health Issues ◽  
Content Type ◽  
Mental Health Issues

Purpose Stigma associated with mental health problems is widespread in the Kingdom of Saudi Arabia (KSA). Consequently, this may prevent many Saudi people from accessing the mental health-care services and support they need. The purpose of this study is to consider how stigma affects people needing to access mental health services in the KSA. To achieve this aim, this study reviews the knowledge base concerning stigma and mental health in KSA and considers specific further research necessary to increase the knowledge and understanding in this important area. Design/methodology/approach This review examines the relevant literature concerning mental health stigma and related issues in KSA using the Arksey and O'Malley and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses frameworks. As a scoping review, it has used a systematic approach in literature searching. The results of the search were then thematically analysed and the themes were then discussed in light of the concepts of stigma and mental health. Findings Stigma around mental health impedes access to care, the nature of care and current clinical practice in the KSA. The voices of those with mental health issues in KSA are almost entirely unrepresented in the literature. Originality/value The review identifies that mental health stigma and cultural beliefs about mental health in KSA may act as barriers to accessing services. The voice of mental health service users in KSA remains largely unheard. If public discussion of mental health issues can increase, people’s experiences of accessing services may be improved.

Unintentional participant observation: a research method to inform peer support in mental health?

2019 ◽  
Vol 23 (2) ◽  
pp. 81-85 ◽  
Author(s):  
Andrew Voyce
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Peer Support ◽  
Role Models ◽  
Participant Observation ◽  
Meta Analysis ◽  
Health Issues ◽  
Content Type ◽  
Mental Health Issues

Purpose The purpose of this paper is to validate peer support in mental health care. Design/methodology/approach Literature review and meta-analysis methodology are used. Findings The unintentional nature of peer support is a valid methodology for the understanding of mental health issues and mental health care. Research limitations/implications The limitation is that peer experience should be accepted as a valued method for research. Practical implications Professional domains may not keep a monopoly of research approaches in mental health. Social implications Peer support may mean more avenues for empowerment of mental health service users from peer role models who have unintentional acquaintance with mental health issues and care. Originality/value This research refers to ethnographic precedents to describe methodology relevant to twenty-first century peer support in mental health. It is original in valuing the unintentional participant observation acquired from experience of the mental health system.

The challenge of change fatigue on workplace mental health

2020 ◽  
Vol 19 (5) ◽  
pp. 199-203
Author(s):  
Jan Bruce ◽  
Lucy English
Keyword(s):  
Mental Health ◽  
Focus Groups ◽  
Behavioral Health ◽  
Health Issues ◽  
Workplace Issues ◽  
Content Type ◽  
Extreme Stress ◽  
Workplace Mental Health ◽  
Mental Health Issues ◽  
The Impact

Purpose Change and “change fatigue” were contributing to a spectrum of workplace issues – from extreme stress and burnout – to rising mental health issues even before the impact of COVID-19. This paper aims to examine why identifying mental and behavioral health issues had become a top priority for some employers and explore the negative impacts mental health issues present to organizations. Design/methodology/approach To gain this additional insight and data, meQuilibrium partnered with Employer Health Innovation Roundtable (EHIR) to hold a series of four workshops and focus groups, in the Fall of 2019 with 37 participating EHIR members representing large employers. The authors also gathered data through a short survey instrument. The discussions and the survey focused on the current mental and behavioral health challenges being faced by their organizations and what innovations are being put in place or will need to be put in place as part of a future integrated workforce strategy. Findings A key, and foundational, finding was that among these human resource (HR) leaders there was a view shared by 97% of survey respondents that the workplace was facing a greater mental health challenge than previously. Hundred per cent of participants agreed that the success of a workplace mental health solution will now require highly personalized, whole-person care across the full range of problems from mild to severe and will need to include not just the employee but also their spouse/partner and children. Originality/value While identifying mental and behavioral health issues had become a top priority for some employers even before the pandemic, meQuilibrium believed there was a need for more clarity as to how the HR professionals were viewing the urgency of the situation. This study examines key stakeholders in their organizations, the effectiveness of their current solutions and what new approaches to employee mental health they were considering. This paper includes original data compiled through workshops and focus groups.

Expanding the use of the ASAM CriteriaTM to make mental health level of care placements

2018 ◽  
Vol 11 (2) ◽  
pp. 49-59
Author(s):  
Walter Matthew Drymalski
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Behavioral Health ◽  
Mental Health Treatment ◽  
Independent Living ◽  
Psychotic Symptoms ◽  
Health Issues ◽  
Addiction Medicine ◽  
Content Type ◽  
Living Skills

Purpose Despite the prevalence of co-occurring mental health and substance use disorders, the assessment and placement processes for each often remain separate. The purpose of this paper is to describe an expanded use of the American Society of Addiction Medicine (ASAM) CriteriaTM to make placements into substance use, co-occurring, and mental health treatment. Design/methodology/approach A rationale for the development of two new domains (Domain 7, substance use and Domain 8, independent living skills) and preliminary data supporting the use of the ASAM CriteriaTM as a placement process for all types of behavioral health issues will be provided. Findings Dimension 3 and Domains 7 and 8 were correlated with selected clinical indices in the expected direction (Dimension 3: depression (F (4, 4650)=202.092, p<0.001), medication usage (F (4, 4,637)=174.254, p<0.001), and psychotic symptoms (F (4, 4,561)=62.954, p<0.001); Domain 7: alcohol use (F (4, 4,458)=213.786, p<0.001) and drug use (F (4, 4,471)=611.491, p<0.001); and Domain 8: functional impairment (F (4, 3,927)=815.646, p<0.001) and number of “high needs” (F (4, 3,927)=737.568, p<0.001). Research limitations/implications The limitations of this research included a lack of inter-rater reliability data and less established intake assessments. Practical implications This single placement approach for clients seeking behavioral health services can create a more efficient, person-centered intake experience. Originality/value This paper suggests that it is possible to deploy a single assessment and placement approach for all types of behavioral health issues.

scholarly journals Gender differences in mental health prevalence in autism

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Felicity Sedgewick ◽  
Jenni Leppanen ◽  
Kate Tchanturia
Keyword(s):  
Mental Health ◽  
Gender Differences ◽  
Eating Disorders ◽  
Self Report ◽  
Health Issues ◽  
Content Type ◽  
Mental Health Issues ◽  
Autistic People ◽  
Gendered Patterns ◽  
Autistic Population

Purpose Mental health conditions are known to be more common amongst autistic than non-autistic people. To date, there is little work exploring gender differences in mental health amongst autistic people and no work including non-binary/trans people. This paper aims to address this gap. Design/methodology/approach This was a large-scale online study, with 948 participants between 18 and 81 years old. Participants self-reported autism, anxiety, depression and eating disorder status. Analyses were run examining gender differences in the rates of these conditions in each group. Findings Autistic people are more likely to have anxiety and depression than non-autistic people of all genders. Autistic women and non-binary people experienced mental health issues at higher rates than men and at similar rates to each other. Autistic people were twice as likely as non-autistic people to have all eating disorders. Further, gendered patterns of eating disorders seen in the non-autistic population are also present in the autistic population. Research limitations/implications There are inherent issues with self-report of diagnoses online, but this study showed that using screening questionnaires is effective. Originality/value This is the first paper to look at gender differences in common mental health issues amongst autistic and non-autistic adults. It highlights that there are significant gendered patterns in the prevalence of mental health issues in both the autistic and non-autistic population and that these have an impact for how treatment should be approached to be effective.

Social media use for supporting mental health (SMILE)

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Gill Brown ◽  
Amy Leigh Rathbone ◽  
Julie Prescott
Keyword(s):  
Mental Health ◽  
Social Media ◽  
Online Survey ◽  
Mental Health Problems ◽  
Service Providers ◽  
Personal Control ◽  
Health Issues ◽  
Content Type ◽  
Support Mechanism ◽  
Mental Health Issues

Purpose The SMILE study (social media as informal support for people with mental illness: an exploratory study) aimed to explore how people with mental health issues use and value social media as a support mechanism. Design/methodology/approach A systematic search of Facebook and Twitter identified groups and pages relating to mental health issues. In total, 203 users over the age of 18 were recruited via Facebook and Twitter. Any user who considered themselves to experience mental health problems could opt to participate and no exclusion criteria were applied. A mixed-methods online survey retrieved demographic and qualitative data by asking users to describe their personal experiences when using social media for mental health support. Findings Users perceive Facebook and Twitter as useful online resources to gain informational and emotional support and to share experiences. The benefits were; ease of access, anonymity and personal control over engagement levels. Users had subjective experiences of engagement, however, overall these were deemed positive. Using Facebook and Twitter for mental health provided users with a sense of connectedness and reduced feelings of isolation. Originality/value The qualitative methodology allowed participants to share their experiences and views, with positive implications for services. Social media was discussed as a prospective tool for raising awareness and reducing stigma. The study highlights the scope for mental health service providers to tap into the social media consumer market and provide quality online support provision.

Exploring the impact of COVID-19-related fear, obsessions, anxiety and stress on psychological well-being among adults in Pakistan

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Naeem Aslam ◽  
Kanwal Shafique ◽  
Ammar Ahmed
Keyword(s):  
Mental Health ◽  
Well Being ◽  
Survey Method ◽  
Health Issues ◽  
Psychological Well Being ◽  
Health Crisis ◽  
Content Type ◽  
Negatively Associated ◽  
Mental Health Issues ◽  
The Impact

Purpose Fear of COVID-19 is one of the pivotal components that have generated higher levels of stress, obsessions and anxiety among the adult population, thus creating numerous mental health issues. The purpose of this study was to evaluate psychological well-being based on COVID-19-related fear, obsessions and anxiety during the pandemic situation. Design/methodology/approach The current study aimed to evaluate the relationship between COVID-19-related fear, obsessions, anxiety, stress and well-being among adult populations. Additionally, the aim was to see the impact of COVID-19-related fear, obsessions, anxiety and stress on well-being. This was a cross-sectional study based on nonclinical sample of (n = 250) adults; data was obtained via online questionnaire survey method and analysis was performed by using the statistical package for social sciences (SPSS-22). Findings The authors’ findings based on descriptive statistics showed that COVID-19-related fear and obsessions were positively associated with COVID anxiety and stress and negatively associated with well-being. COVID anxiety was positively associated with stress and negatively associated with well-being. Moreover, perceived stress is negatively associated with well-being. The results additionally provide the outcome/conclusion that COVID-related anxiety significantly negatively predicted the psychological well-being. Overall the model explained 24% of the variance in psychological well-being. Females scored significantly high in COVID-19-related anxiety and obsessions as compared to males. Research limitations/implications A distinctive feature of this study is the understanding of COVID-19-related fear, obsessions, anxiety, stress and well-being among adult populations, and the findings are highlighting the need for psychological and social interventions for this specific population; therefore, immediate attention is needed by the clinical health professionals dealing with mental health issues. Originality/value There is a vital need to explore and develop psychological interventions aiming at the negative consequences being faced by the adult populations due to the COVID-19 pandemic and the impending second wave that will expose individuals to various mental health issues evolving because of the health crisis.

scholarly journals Non-medical prescription drug and illicit street drug use among young Swiss men and associated mental health issues

2014 ◽  
Vol 26 (4) ◽  
pp. 525-530 ◽  
Author(s):  
Stéphanie Baggio ◽  
Joseph Studer ◽  
Meichun Mohler-Kuo ◽  
Jean-Bernard Daeppen ◽  
Gerhard Gmel
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Drug Use ◽  
Prescription Drugs ◽  
Mental Health Problems ◽  
Street Drugs ◽  
Health Issues ◽  
Substance Use Prevention ◽  
Sleeping Pills ◽  
Mental Health Issues

Abstract Non-medical use of prescription drugs (NMUPD) is increasing among the general population, particularly among teenagers and young adults. Although prescription drugs are considered safer than illicit street drugs, NMUPD can lead to detrimental consequences. The aim of the present study was to investigate the relationship between drug use (NMUPD on the one side, illicit street drugs on the other side) with mental health issues and then compare these associations. A representative sample of 5719 young Swiss men aged around 20 years filled in a questionnaire as part of the ongoing baseline Cohort Study on Substance Use Risk Factors (C-SURF). Drug use (16 illicit street drugs and 5 NMUPDs, including sleeping pills, sedatives, pain killers, antidepressants, stimulants) and mental health issues (depression, SF12) were assessed. Simple and multiple linear regressions were employed. In simple regressions, all illicit and prescription drugs were associated with poorer mental health. In multiple regressions, most of the NMUPDs, except for stimulants, were significantly associated with poorer mental health and with depression. On the contrary, the only associations that remained significant between illicit street drugs and mental health involved cannabis. NMUPD is of growing concern not only because of its increasing occurrence, but also because of its association with depression and mental health problems, which is stronger than the association observed between these problems and illicit street drug use, excepted for cannabis. Therefore, NMUPD must be considered in screening for substance use prevention purposes.

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